| NPI | 1194067009 |
|---|---|
| Doing Business As | PROMENADE CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN RUOCCO President 704-996-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7738) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |